Pressure Ulcer Prevention
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The Effects of an Exercise and Incontinence Intervention on Skin Health Ourcomes in Nursing Home Residents
Barbara M. Bates-Jensen, Cathy A. Alessi, Nahla R. Al-Samarrai, and John F. Schnelle, 2003, in Journal of the American Geriatrics Society; 51(3):348-355.
- This randomized controlled study evaluated whether a combined exercise and incontinence intervention improved skin health outcomes for nursing home residents. Four risk factors related to skin health--urinary and fecal incontinence, physical activity, and skin wetness--did improve, but did not translate into significant improvements in most measures of skin health. There was no difference between the intervention and control groups in the incidence rate of pressure ulcers. However, those residents who improved the most on fecal incontinence showed improvement in pressure ulcers in one area.
For the study, 190 incontinence residents in four nursing homes were divided into intervention and control groups. With intervention residents, research staff provided exercise and incontinence care every two hours from 8 a.m. to 4:30 p.m., five days a week for 32 weeks. The control group received usual care from nursing home staff.
The authors conclude that even if nursing homes had adequate staffing resources, they might not be able to improve skin health quality indicators significantly if they attempt to implement preventive interventions on all residents who are judged at risk because of their incontinence status.
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